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(928) 776-0932
| 2893 Venture Drive, Prescott AZ 86301
Home
About
Our Staff
Affiliations
Resources & Links
Galleries
Services
Rates & Fees
Reservations
Request a Reservation
Express Check-In Form
Forms
Express Check-In Form
New Client Information and Evaluation
Request a Reservation
Medical Release Form
Dog Boarding and Kennel Agreement
Boarding Vaccine Release Form
Quarterly specials
PAMPERED POOCH PACKAGE
ACTIVE CANINE PACKAGE
NEW PUPPY PACKAGE
SENIOR SERENITY PACKAGE
Education
Contact Us
Boarding Vaccine Release Form
Download and Print Form
I ___________________________ (owner and or responsible party) do herby understand that I am willingly boarding my pet at Hassayampa Canine Resort and Spa and he/she is not current on all vaccines. Hassayampa Canine Resort and Spa recommends my pet be current on Bordetella, Distemper/Parvo combination vaccine or titer and Leptospirosis vaccine and requires Rabies vaccine, unless the pet is under 4 months of age, for the safety of my pet and to aid in the prevention of contagious diseases in a boarding setting.
*
I understand as the owner and responsible party for: _____________(patients name/sex/age/breed) that I am taking a risk that my pet may be exposed to potentially contagious diseases and by not being current on all vaccines is at a higher risk for infection. We further understand that Hassayampa Canine Resort and Spa does everything in its power to prevent such problems from arising.
*
I herby release Hassayampa Canine Resort and Spa, its doctors and staff from any and all responsibility if my pet were to contract an infectious disease during the boarding period. I have declined vaccinating for __________________________________________ (list all that pertain)
*
My Pet is too young to have received all of his or her Vaccines?
*
Yes
No
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